| NPI | 1205390812 |
|---|---|
| Former Name | MARY MAKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2940) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2807) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-08-21 |