| NPI | 1811937717 |
|---|---|
| Former Name | MARY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 9038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 9038) |
| 101YM0800X Counselor, Mental Health (Licence: MA 9038) | |
| 101YS0200X Counselor, School | |
| 101YS0200X Counselor, School (Licence: MA 9038) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-08-28 |