| NPI | 1285701201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 22021) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 12286) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04764600) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |