| NPI | 1073640736 |
|---|---|
| Former Name | MARI ANNE HOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3465 125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3465 125) |
| 163W00000X Registered Nurse (Licence: WI 106595030) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-12-15 |