NPI | 1316653876 |
---|---|
Former Name | CAITLIN WYNNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06161900) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2023-01-27 |
Last Update Date | 2023-04-04 |