NPI | 1215466545 |
---|---|
Other Name | LISA MANNS HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00574600) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00250600) |
Enumeration Date | 2017-06-09 |
Last Update Date | 2019-08-12 |