| NPI | 1861017121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00317900) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05913000) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-03-11 |