| NPI | 1720543416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00768100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00338700) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00408500) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-04-02 |