| 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 |