| NPI | 1154987519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0016292) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00279200) |
| 101YM0800X Counselor Mental Health (Licence: NJ 37AC00437800) | |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2025-02-12 |