| NPI | 1629686910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06188500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00283400) |
| 104100000X Social Worker (Licence: NJ 44SL06387400) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-11-28 |