| NPI | 1033568894 |
|---|---|
| Former Name | MARY ANN MILLOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1763-13) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 429) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2016-06-11 |