| NPI | 1134294408 |
|---|---|
| Former Name | MARCY CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 859) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-11-24 |