| 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 |