| NPI | 1740787662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00625200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 6796) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00276300) | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |