| NPI | 1245770635 |
|---|---|
| Former Name | ELIZABETH MACKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00544700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00243000) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |