NPI | 1518458413 |
---|---|
Former Name | MARSHA HALL MCMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 346) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1372) |
Enumeration Date | 2018-05-25 |
Last Update Date | 2020-08-07 |