| NPI | 1962419598 |
|---|---|
| Former Name | MARION E HAFTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005597) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-03-28 |