| NPI | 1306983697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00066200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 044592) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |