NPI | 1295284222 |
---|---|
Former Name | TAMEKA N MOTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00203400) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2024-06-25 |