| NPI | 1700539053 |
|---|---|
| Former Name | MARY CLAIRE CONDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0210) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0172661) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-12-01 |