Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 114177 | MA |
NPI | 1003073529 |
---|---|
Provider Name | Ms. Frances E. Marron |
First Address | Brookline, MA 02446-4816 |
Second Address | Brookline, MA 02446-4816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 21/05/2008 |