| NPI | 1598495764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 44SC06540800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06540800) |
| 221700000X Art Therapist (Licence: NJ 44SC06540800) | |
| 101YP1600X Counselor, Pastoral (Licence: NJ 44SC06540800) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 44SC06540800) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC06540800) | |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2025-10-23 |