NPI | 1295349876 |
---|---|
Former Name | MARALEE SYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9037) |
Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC198) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2022-05-04 |