| NPI | 1780372813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013460) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 7PC00861100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00361300) | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |