| NPI | 1790268951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05764200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00252100) |
| 1041S0200X Social Worker, School (Licence: NJ 1083185) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |