| NPI | 1962463505 |
|---|---|
| Former Name | MARY BAUSCH HINMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 5030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C0480) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2010-11-17 |