| NPI | 1346612793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00674100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 31521) |
| 101YM0800X Counselor, Mental Health (Licence: NY 008080) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2024-11-05 |