| NPI | 1295876332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ LCADC37LC00085400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2008r) |
| 1041C0700X Social Worker, Clinical (Licence: NJ LCSW44SCO4516000) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ sc45160) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2021-08-31 |