| NPI | 1417595117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06776400) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-04-01 |