NPI | 1972996395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00213800) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 44SC05587500) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |