NPI | 1992975965 |
---|---|
Former Name | ELIZABETH ANN SLOTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114828) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 114828) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2017-03-15 |