| NPI | 1508198326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00716900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00716900) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00142600) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2020-04-15 |