| NPI | 1790320281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00260900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01232200) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC014025) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2026-02-20 |