NPI | 1912332404 |
---|---|
Former Name | MARCY ANN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013840) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013840) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2024-09-26 |