| NPI | 1467518787 |
|---|---|
| Former Name | MOLLIE LEE FREESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 75897PC) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-09 |