| NPI | 1306196035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00866500) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00300500) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-11-14 |