| NPI | 1427624964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00894000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00894000) |
| 101Y00000X Counselor (Licence: NJ 37AC00478500) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00364800) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2023-09-08 |