| NPI | 1801949862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00040300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC08141) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2025-09-11 |