| NPI | 1528120995 |
|---|---|
| Former Name | MARION M HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 946) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0278AD) |
| 101YM0800X Counselor, Mental Health (Licence: MA 5404) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |