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 |