| NPI | 1346481470 |
|---|---|
| Other Name | MARY LYNN STOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2777-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3669-125) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-10-20 |