NPI | 1477691392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00044700) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00092300) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2023-06-13 |