| NPI | 1134390669 |
|---|---|
| Former Name | MARILYN A OHEARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1032768) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |