| NPI | 1003182692 |
|---|---|
| Former Name | MOLLY PETTIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 098631) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A9168) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-05-05 |