| NPI | 1528721651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 37LC00328700) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 3PC00867400) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-01-06 |