| NPI | 1174808109 |
|---|---|
| Former Name | MARYBETH GREIFENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC00690) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHC00690) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2024-01-19 |