| 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 |