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 |