NPI | 1912195991 |
---|---|
Former Name | MERINDAR J TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009752) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00170) |
104100000X Social Worker (Licence: MI 6802085439) | |
101YM0800X Counselor, Mental Health (Licence: MI 6401009752) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2011-10-19 |