| NPI | 1437135704 |
|---|---|
| Former Name | NANCY LOUISE MARION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003420) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 89215) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000655) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC14026) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-08-02 |