| NPI | 1689904831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00350100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00081500) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00350100) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |