| NPI | 1104930700 |
|---|---|
| Professional Name | M. MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S3559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3559) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-10-07 |