| NPI | 1255540399 |
|---|---|
| Former Name | JENNIFER ANN NATALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00030200) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-11-09 |