| NPI | 1518699032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 888-888-888) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |