| NPI | 1881857449 |
|---|---|
| Former Name | MARJANE SUZANNE VEAZEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104033-01) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-05-05 |