NPI | 1316025612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00093300) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01292300) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |