| NPI | 1043542681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05704700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 72083248) |
| 104100000X Social Worker (Licence: NY 083248) | |
| 1041C0700X Social Worker, Clinical (Licence: OK 72083248) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2022-01-19 |