| NPI | 1679162655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 116886) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: NJ 44SL06943100) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-05-11 |