| NPI | 1255800637 |
|---|---|
| Former Name | JAMIE LEE AGENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06019000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC000343000) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008969) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2024-11-04 |