| NPI | 1306293527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00544400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00241400) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH9148) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2020-01-07 |