| NPI | 1003977588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00050700) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00075900) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00138400) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-09 |