NPI | 1043750672 |
---|---|
Former Name | MARNIE NICOLE CRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102280) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1500707) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161766) | |
101YM0800X Counselor, Mental Health (Licence: PA PC012987) | |
Enumeration Date | 2017-03-01 |
Last Update Date | 2022-05-03 |