NPI | 1508308834 |
---|---|
Former Name | DEBRA M MERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME INDEPENDENTCC4916) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4495) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2018-10-09 |