| NPI | 1285935569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00230500) |
| 104100000X Social Worker (Licence: NJ 44SL05796500) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2018-08-16 |