| NPI | 1487805883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04644200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC04644200) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |