NPI | 1407587207 |
---|---|
Former Name | MARILYN MUS KANU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2024-12-26 |