| NPI | 1568608305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00050000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005021) |
| 104100000X Social Worker (Licence: NJ 44SW00706700) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |