| NPI | 1063656759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10687) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00124500) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05388700) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2014-11-13 |