| NPI | 1801196795 |
|---|---|
| Former Name | MARY E SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 12094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2007002243) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2015-06-04 |