| NPI | 1598125387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927122) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2015-000239) |
| 104100000X Social Worker (Licence: NJ 44SL06018600) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-06-17 |