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 |