| NPI | 1982772893 |
|---|---|
| Former Name | MARY ELIZABETH LIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 09-09-26) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-14 |