| NPI | 1902045784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00478500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00275000) |
| 101YM0800X Counselor, Mental Health (Licence: NY 003338-1) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2018-08-23 |