| NPI | 1649449760 |
|---|---|
| Former Name | MARY JANE PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 121856) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19406) |
| 101YP2500X Counselor, Professional (Licence: VA 0701004224) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2024-08-12 |