| NPI | 1225435332 |
|---|---|
| Former Name | MARIETTA STRAUSBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 261755) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 173186) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-01-26 |