| NPI | 1215365739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00989900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA9280413) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC6684) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2024-03-01 |