| NPI | 1568842805 |
|---|---|
| Former Name | MAUREEN REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19892) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LSAT 15116) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-10-04 |