| NPI | 1942296553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ LCADC37LC00074800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ LCSW44SC00034700) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |