| NPI | 1851717532 |
|---|---|
| Former Name | MARLENA MARIE WORKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60742691) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2018-09-20 |