| NPI | 1841513785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00151500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00419100) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2021-01-23 |