| NPI | 1407300288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21324) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 100467) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00247100) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05810900) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-10-25 |