| NPI | 1063777696 |
|---|---|
| Former Name | MYAMARIA BOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health (Licence: FL SW13554) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2025-02-28 |