NPI | 1386011914 |
---|---|
Former Name | EMORY CABRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05542400) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LCoo202300) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2015-08-31 |