| NPI | 1912280579 |
|---|---|
| Former Name | ELIZABETH ANN POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 937) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3440) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-05-07 |