| NPI | 1588110787 |
|---|---|
| Former Name | MARY CULPEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-08-30 |