| NPI | 1033501440 |
|---|---|
| Former Name | MARJORIE LOUREN ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6929) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP5567) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2018-06-27 |