| NPI | 1316166390 |
|---|---|
| Former Name | MARIAH LYNN MUNSTEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60011789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3273) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-11-12 |