NPI | 1093839425 |
---|---|
Former Name | MARY ANNE STOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2119-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 12492-131) |
101YM0800X Counselor, Mental Health (Licence: WI 484-125) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2025-09-11 |