| NPI | 1518330232 |
|---|---|
| Former Name | MOLLY DUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009952) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: IL 1800009952) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-10-24 |