| NPI | 1629228622 |
|---|---|
| Former Name | MARY R ATIBURCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: HI 268) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: TX 87048) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-03-19 |