| NPI | 1407011307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05440600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00185100) |
| 104100000X Social Worker (Licence: NJ 44SL05460200) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-01-29 |