| NPI | 1104941822 |
|---|---|
| Other Name | MARILEE PERYAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |