NPI | 1790849578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00069100) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00054800) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-07-08 |