NPI | 1104293299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009938) |
101YP2500X Counselor, Professional (Licence: NJ 37PC01096000) | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2025-04-30 |