| NPI | 1134533557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01057900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00344700) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-11-07 |