| NPI | 1427466358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00198300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009892) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00636000) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-12-05 |