| NPI | 1093571960 |
|---|---|
| Former Name | MARILYN NMI BARTLOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID LMSW-32496) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |