| NPI | 1235777285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06289400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00358500) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2024-03-26 |