| NPI | 1134775562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06014800) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2018-000627) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00327900) | |
| 104100000X Social Worker (Licence: NJ 44SL06482300) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-05-05 |