NPI | 1841648813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00190300) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA pc007013) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |