NPI | 1033715651 |
---|---|
Former Name | BRITTANY SJAASTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06278500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06588800) |
Enumeration Date | 2020-12-09 |
Last Update Date | 2025-01-17 |