| NPI | 1346446036 |
|---|---|
| Former Name | MARY A EICHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 006468) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-01-06 |