| NPI | 1245658897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00209600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05542900) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-08-14 |