| NPI | 1215314141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00611500) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00611500) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-06-15 |