| NPI | 1902974629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00019400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04389400) |
| 163W00000X Registered Nurse (Licence: NJ 26NR02868500) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2025-09-11 |