| NPI | 1922332154 |
|---|---|
| Former Name | EMILY SARA GARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 774) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2016-05-10 |