| NPI | 1841680345 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05596700) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00170600) | 
| Enumeration Date | 2015-02-04 | 
| Last Update Date | 2022-10-04 |