| NPI | 1134639842 |
|---|---|
| Professional Name | MARDI STORM |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 225700000X Massage Therapist (Licence: CA 67086) | |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2019-11-24 |