| NPI | 1063895878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00240200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001549) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF001181) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI001437) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-04-29 |