| NPI | 1043443617 |
|---|---|
| Professional Name | MARIAH PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10509741-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1478) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2022-12-07 |