| NPI | 1235696360 |
|---|---|
| Former Name | RIKKI LYN HAUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06201300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06434300) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-04-26 |