| NPI | 1427440569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018449) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 967021) |
| 1041S0200X Social Worker, School (Licence: NJ 690840) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2022-12-15 |