| NPI | 1669818811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009847) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0904009847) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904009847) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05933600) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05933600) | |
| 171000000X Military Health Care Provider (Licence: VA 0904009847) | |
| 171000000X Military Health Care Provider (Licence: NJ 44SC05933600) | |
| 171M00000X Case Manager/Care Coordinator (Licence: VA 0904009847) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NJ 44SC05933600) | |
| 222Q00000X Developmental Therapist (Licence: VA 0904009847) | |
| 222Q00000X Developmental Therapist (Licence: NJ 44SC05933600) | |
| 251B00000X Case Management (Licence: VA 0904009847) | |
| 251B00000X Case Management (Licence: NJ 44SC05933600) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-04-06 |