NPI | 1982196622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00255500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05710800) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-05-30 |