| NPI | 1902993900 |
|---|---|
| Former Name | ELISHA MORGAN PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001305) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1946) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-04-26 |