NPI | 1730535915 |
---|---|
Former Name | MARIE BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6019) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital |
Enumeration Date | 2016-05-06 |
Last Update Date | 2021-02-12 |