| NPI | 1003184987 |
|---|---|
| Former Name | MARI ANTOINETTE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2768) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 2768) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2025-09-29 |