| NPI | 1164074019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06229200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00282200) |
| 104100000X Social Worker (Licence: NJ 44SL06021100) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-11-06 |