| NPI | 1588936314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00576100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00250400) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00306100) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2023-11-22 |