| NPI | 1467519603 |
|---|---|
| Former Name | MARY BETH MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00168500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00108700) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-08-21 |