| NPI | 1457730285 | 
|---|---|
| Former Name | MARY ALICE MARTIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99370) | 
| 374J00000X Doula | |
| Enumeration Date | 2015-05-26 | 
| Last Update Date | 2023-05-09 |