NPI | 1760738280 |
---|---|
Other Name | SISTER MARY AHEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301016200) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-08-02 |
Last Update Date | 2015-03-26 |