NPI | 1124460977 |
---|---|
Former Name | MAURA COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3172) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16415) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2020-04-07 |