NPI | 1700071610 |
---|---|
Former Name | MARCI MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011141) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011141) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2024-11-15 |