| NPI | 1932450780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 14112) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00162700) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05316000) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-08-23 |