| NPI | 1528474301 |
|---|---|
| Former Name | MOLLY RAE MARX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801096024) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16591-130) |
| 104100000X Social Worker (Licence: WI 129072-121) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |