| NPI | 1942904685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q3-0000095) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00304900) |
| 104100000X Social Worker (Licence: NJ 44SL06035900) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |