| NPI | 1992417737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 44SC05748800) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-05-21 |