| NPI | 1902181324 |
|---|---|
| Former Name | ALLYSON MARIE GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |