NPI | 1144744285 |
---|---|
Former Name | CHRISTINA ELIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00241800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00348000) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2022-07-21 |