| NPI | 1861720195 |
|---|---|
| Former Name | ELIZABETH LEANNA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA PY60304131) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60917491) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-08-27 |