| NPI | 1922526904 |
|---|---|
| Former Name | MARY ELIZABETH STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC QS141610) |
| 101YP2500X Counselor, Professional (Licence: NC 13576) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-06-06 |