| NPI | 1629056098 |
|---|---|
| Former Name | MARION PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10135) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 4204) |
| 101YM0800X Counselor Mental Health (Licence: RI MHC00067) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI LCDP00058) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-01-03 |