| NPI | 1386354702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00630800) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00285500) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |