| NPI | 1639628753 |
|---|---|
| Former Name | MARY L. POULIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2280889) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2280889) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2025-11-04 |