| NPI | 1275654279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7418) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC LAC814AC) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00044600) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00003100) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-08-08 |