| NPI | 1255867214 |
|---|---|
| Former Name | AMANDA DEFURIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00583800) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00314500) |
| 101YM0800X Counselor Mental Health (Licence: NJ 37PC00583800) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-02-23 |