| 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 |