| NPI | 1952757767 |
|---|---|
| Former Name | MARY ATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |