| NPI | 1124106430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100620000) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NJ 37RC00203200) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00033600) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00002300) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00155800) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-02-03 |