| NPI | 1558037390 |
|---|---|
| Former Name | MARY LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 774) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-02-22 |