| NPI | 1891264297 |
|---|---|
| Former Name | ANNALIESE ELIZABETH SLATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LMSW-43290) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2024-07-18 |