| NPI | 1568161495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06177800) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 37LC00367600) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |