NPI | 1093871147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00019200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SW00936900) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2007-07-08 |