| NPI | 1699169425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010487) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00202600) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00465700) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2022-01-26 |