NPI | 1437164241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05168500) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00092100) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2019-10-02 |