| NPI | 1225585003 |
|---|---|
| Former Name | MARY J LAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC-7409) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-11-29 |