| NPI | 1578972444 |
|---|---|
| Former Name | MARIA JANE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH s.1303473) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-04-09 |