NPI | 1265773683 |
---|---|
Former Name | HEATHER J RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00362400) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00362400) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00148300) | |
101YM0800X Counselor, Mental Health (Licence: NJ 37PC00362400) | |
Enumeration Date | 2013-03-11 |
Last Update Date | 2019-10-10 |