| NPI | 1912169103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00133600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05534200) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2020-04-30 |