| NPI | 1891981593 |
|---|---|
| Other Name | ANGIE RACHELLE MARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304564) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-09-03 |