NPI | 1134559255 |
---|---|
Former Name | KATHLEEN ANNE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00440600) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00207100) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2022-03-31 |