| NPI | 1821627027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0011171) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00301300) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00409700) | |
| 101YP2500X Counselor, Professional (Licence: PA PC013600) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00763500) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-03-05 |