| NPI | 1659845410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05378100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 2-11861) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00169100) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 087039) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |