NPI | 1588928600 |
---|---|
Former Name | HILARY KROSNEY REDIKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00275800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC0061500) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2023-01-11 |