NPI | 1033788583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00755200) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00333200) |
101YM0800X Counselor, Mental Health (Licence: NY 012853-01) | |
Enumeration Date | 2021-06-20 |
Last Update Date | 2023-12-12 |