NPI | 1154204055 |
---|---|
Former Legal Business Name | MARIKO M. LIN, LLC |
Entity Type | Organization |
Authorized Contact | MARIKO MEDALLADA LIN Partner 608-217-8530 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-08-24 |