| NPI | 1639445620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00464300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00070000) |
| 101YP2500X Counselor, Professional (Licence: PA PC012672) | |
| 101YP2500X Counselor, Professional (Licence: DE PC0011276) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2024-11-07 |