NPI | 1427364231 |
---|---|
Former Name | KAREN FRANCES SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC9013) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 313583) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2025-03-20 |