| NPI | 1972160216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06534000) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37CA00141900) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00314400) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-12-30 |