| NPI | 1164790218 |
|---|---|
| Former Name | MARIE TRAVIS MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1606) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3321-A) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-07-28 |