| NPI | 1003320094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05767700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00295500) |
| 1041S0200X Social Worker, School (Licence: NJ 1127185) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2021-01-15 |