| NPI | 1669297412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00145900) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00375300) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |