NPI | 1528120995 |
---|---|
Former Name | MARION M HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5404) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 946) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0278AD) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2025-09-11 |