| NPI | 1346322419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00224200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 067712-1) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-04-21 |