NPI | 1457488686 |
---|---|
Former Name | MARY ELIZABETH LOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0093781) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 93781) |
101YM0800X Counselor, Mental Health (Licence: NM 0093781) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-03-29 |