| NPI | 1356894679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00272200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06182300) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05905000) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2022-08-07 |