| 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 |