| NPI | 1184199523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00611100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00275500) |
| 101YP2500X Counselor, Professional (Licence: PA 009310) | |
| 101YP2500X Counselor, Professional (Licence: PA pc009310) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-08-29 |