| NPI | 1124005616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00018900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SW00567300) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |