| NPI | 1104311745 |
|---|---|
| Former Name | MARGARET MARIE LONGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149.022225) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34557) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-05-23 |