| NPI | 1164794145 |
|---|---|
| Other Name | MARYAM MEHRAK MAZAHERI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24102) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 24102) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2018-10-12 |