NPI | 1386895712 |
---|---|
Former Name | CINDY I. MADORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC3374) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME CC3374) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2015-01-23 |