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 |