| NPI | 1629600176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00297900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 3PC00711800) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 3PC00711800) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |