| NPI | 1528929817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00857900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2025-000228) |
| 221700000X Art Therapist (Licence: NJ 16LA00004800) | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |