NPI | 1407367600 |
---|---|
Former Name | MELISSA ACEVEDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05953000) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06318600) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2020-12-15 |