| NPI | 1417099946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 2437-M) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00071700) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 0289L) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC04937400) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-05-18 |