| NPI | 1487355517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00309500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06808500) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |