| NPI | 1710465877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE AC-0010361) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 805625) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00682200) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-07-13 |