| NPI | 1427294180 |
|---|---|
| Former Name | THERESA EACMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 119502) |
| 163WS0200X Registered Nurse, School (Licence: MA 119502) | |
| 225C00000X Rehabilitation Counselor (Licence: MA 00002075) | |
| 225C00000X Rehabilitation Counselor (Licence: MA 887) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |