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 |