| NPI | 1306172283 |
|---|---|
| Former Name | MARILYN A. BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 2499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 2499) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |