| NPI | 1255165395 |
|---|---|
| Former Name | MICHELLE A REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 445C05758100) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37C00277500) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |