| NPI | 1811687601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37AC00693200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 01250544) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00693200) | |
| 101YS0200X Counselor, School (Licence: NJ 01674660) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-11-24 |