NPI | 1255849907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05752800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00265200) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-01-16 |
Last Update Date | 2025-05-28 |