| NPI | 1053900829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00683100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00683100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00272400) | |
| 221700000X Art Therapist (Licence: NJ 17-527) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |