| NPI | 1902540545 |
|---|---|
| Former Name | MARGARET CORRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 268468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 268468) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-06-19 |