| NPI | 1740531664 |
|---|---|
| Former Name | LAUREL DE LUCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00187900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00612800) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-11-07 |