| NPI | 1457518284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00030400) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 37LC00030400) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |