NPI | 1518405794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05720600) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00260600) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2023-04-12 |