| NPI | 1053098533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC0030100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06919900) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-06-10 |