| NPI | 1508148875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00160800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00286000) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2013-01-25 |