| NPI | 1205215498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00096300) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NJ 13858) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2017-11-08 |