| NPI | 1083461362 |
|---|---|
| Other Name | MARY POTENTI LMFT |
| Entity Type | Organization |
| Authorized Contact | MARY POTENTI Owner 469-240-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |