| NPI | 1871683185 |
|---|---|
| Former Name | ELIZABETH WELTON GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001418) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11687) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2019-12-27 |