| NPI | 1558752527 |
|---|---|
| Former Name | MARIANNA RYAN-MATNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60525728) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-09-16 |