| NPI | 1174988810 |
|---|---|
| Former Name | MARYAM POORSHAKERI ARDEKANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: HI MHC-1135) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC 60586807) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2025-07-21 |