| NPI | 1649369448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05299300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05314100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00068500) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-10-24 |