NPI | 1043539588 |
---|---|
Former Name | SUZANNE C. FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00451200) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00188200) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2014-03-21 |