| NPI | 1427570621 |
|---|---|
| Former Name | MARIAH LYNNE BELTRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR R213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-08-24 |