| NPI | 1568010213 |
|---|---|
| Former Name | MARIE EILEEN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9511614-6009) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 9511614-6009) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-06-21 |