| NPI | 1417384736 |
|---|---|
| Former Name | JOANNA MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 497) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2019-10-14 |