| NPI | 1366165649 |
|---|---|
| Professional Name | LATANYA JOANIECE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00358100) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |