| 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 |