NPI | 1245459189 |
---|---|
Former Name | MARY ELIZABETH TROTTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11170) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 25148) |
103TS0200X Psychologist, School (Licence: TX 30454) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2007-07-08 |