| NPI | 1225184807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00113000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 37PC00212500) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-09-11 |