| NPI | 1467519959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7993) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00106400) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00022300) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-06-17 |