| NPI | 1326184342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00151900) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00368100) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-08-16 |