| NPI | 1487272431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00717600) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00717600) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 026522-01) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00266100) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 35SI00717600) | |
| 103TC1900X Psychologist, Counseling (Licence: NY 026522-01) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 026522-01) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-09-30 |