| NPI | 1487874897 |
|---|---|
| Former Name | MARY CHRISTINE COVERDALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 7076) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-04-17 |