| NPI | 1477887529 |
|---|---|
| Former Name | ALISON E MANSAVAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007011-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 075519) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.009011) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2016-04-20 |