| NPI | 1891094975 |
|---|---|
| Former Name | MARIE D. MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4192) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2013-03-13 |