NPI | 1467100727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06222100) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00394200) |
1041C0700X Social Worker, Clinical (Licence: PA CW024600) | |
Enumeration Date | 2022-03-16 |
Last Update Date | 2024-10-03 |