| NPI | 1114070976 |
|---|---|
| Former Name | MARYANNA DYMEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |