| NPI | 1245686179 |
|---|---|
| Former Name | MARIAH JO WHITEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |