| NPI | 1528344371 |
|---|---|
| Former Name | ANNA MARIE DILLAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03219) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-08-02 |