NPI | 1144472200 |
---|---|
Former Name | MONICA LYNN REGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YS0200X Counselor, School (Licence: MA 435651) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8524) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2024-07-09 |