| NPI | 1376084046 |
|---|---|
| Former Name | MARY ROLDAN-BALBOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10239-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74395) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2026-05-27 |