| 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 |