| NPI | 1629123450 |
|---|---|
| Former Name | MARY ANN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC LPC9136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA LMHC39004878A) |
| 101YM0800X Counselor, Mental Health (Licence: FL LMHC7711) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7711) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-04-02 |