| NPI | 1053051334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06155200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00339000) |
| 104100000X Social Worker (Licence: NJ 44SL06605000) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-03-31 |