| NPI | 1144624149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019492) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00229000) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05711100) | |
| 1041S0200X Social Worker, School (Licence: NJ 953352) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2018-03-17 |