| NPI | 1861114506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00379200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06839500) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-11-08 |