| NPI | 1366817926 |
|---|---|
| Other Name | CARLY RAE MARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 129904-121) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16933-130) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |