| NPI | 1952616435 |
|---|---|
| Former Name | ELIZABETH ANN WHITTENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092437) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801092437) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801092437) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-01-14 |