| NPI | 1013132836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37PC001153200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37PC00153200) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC001153200) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-05-08 |