| NPI | 1003668591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01080900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00354100) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01080900) | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-05-06 |