| NPI | 1508229022 | 
|---|---|
| Other Name | MARIA MANDERS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11708)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2016-04-01 | 
| Last Update Date | 2016-08-22 |