NPI | 1215367776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00126500) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37AC00126500) |
Enumeration Date | 2013-11-20 |
Last Update Date | 2014-06-23 |