NPI | 1326084070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC04830800) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical (Licence: PA CW017253) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2016-01-26 |