| NPI | 1982364840 |
|---|---|
| Former Name | JAMIE MARIE MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001728) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR F2408002) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002424A) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2025-09-08 |