| NPI | 1578164471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00736300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00181300) |
| 101YS0200X Counselor, School (Licence: NJ 825338) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |