NPI | 1972729861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 44SC04316100) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC04316100) |
106H00000X Marriage & Family Therapist (Licence: NJ 44SCC04316100) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-08 |