| NPI | 1740830090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00673200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00304300) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-09-24 |