| NPI | 1083929533 |
|---|---|
| Former Name | MAYRENA HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10012) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 000010012) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-08-18 |