| NPI | 1003513375 |
|---|---|
| Former Name | MARY E BELSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67230) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2026-04-25 |