| NPI | 1083082366 |
|---|---|
| Professional Name | GARY MAYNE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |