NPI | 1508996661 |
---|---|
Former Name | LAURIE DUTTON MARKON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00377700) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00154600) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2009-01-09 |