| NPI | 1063241248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00385700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06815000) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |