| 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 |