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 |