NPI | 1992847628 |
---|---|
Former Name | MARY BREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT40064) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 40064) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2023-01-12 |