| NPI | 1649419359 |
|---|---|
| Former Name | MARY KAY HOUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2014029933) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SL05482000) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2023-04-18 |