NPI | 1447812763 |
---|---|
Former Name | MAYA ARIEL LIEBERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11179) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |