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 |