| NPI | 1679851315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05718300) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00230200) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2021-02-22 |