NPI | 1538694823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06122300) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 44SL06263700) |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2023-02-21 |