| NPI | 1891938635 |
|---|---|
| Former Name | MARY ELLEN CLAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 52655) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-01-05 |