| NPI | 1154756641 |
|---|---|
| Former Name | MICHELLE SACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05677700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05914300) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-07-21 |