| NPI | 1205105798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37LC00385200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0766) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RALR0770315) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 16LP00023100) | |
| 221700000X Art Therapist (Licence: NJ 37LC00385200) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2024-03-18 |