NPI | 1306568993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00355600) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00618600) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-09-12 |