| NPI | 1487273033 |
|---|---|
| Former Name | MARGARET LYNN BURNIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011799-01) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-02-23 |