| NPI | 1962836312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00237100) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-12-21 |