| NPI | 1598214843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00221800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12167) |
| 101YP2500X Counselor, Professional (Licence: NJ 37LC00221800) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2023-10-17 |