| NPI | 1093800765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00363300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00123000) |
| 1041C0700X Social Worker, Clinical (Licence: NY R030289-1) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-04-27 |