NPI | 1861931966 |
---|---|
Former Name | MARY LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4291) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2017-02-22 |
Last Update Date | 2024-01-18 |