| NPI | 1982235610 |
|---|---|
| Former Name | ELIZABETH TAVARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5061) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 5061) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-04-09 |