| NPI | 1912367699 |
|---|---|
| Former Name | ALLISON MANNIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00592800) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00297600) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2023-06-03 |