NPI | 1689010134 |
---|---|
Former Name | MONICA ANN MERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013752) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013752) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2021-07-15 |