| NPI | 1609117100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012237) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20235) |
| 1041C0700X Social Worker, Clinical (Licence: SC 12310) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06212600) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-02-20 |