| NPI | 1184396996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00978900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2021-000132) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00531100) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-11-09 |