NPI | 1538868377 |
---|---|
Other Name | MARS M MCRAE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 94028048) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-12-05 |