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 |