| NPI | 1306354386 |
|---|---|
| Former Name | MARY THERESA RHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006707) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2017028079) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2020-04-17 |