NPI | 1790037026 |
---|---|
Former Name | MAGGIE MORGANFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1692) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67206) |
Enumeration Date | 2012-10-10 |
Last Update Date | 2013-01-02 |