NPI | 1902930498 |
---|---|
Former Name | ELIZABETH ANN MANISCALCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1807) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1807) |
101YP1600X Counselor, Pastoral (Licence: LA 7347733) | |
106H00000X Marriage & Family Therapist (Licence: LA 171) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2022-07-17 |