NPI | 1841886306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00479100) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00204500) |
101YP2500X Counselor, Professional (Licence: PA PC009985) | |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |