| 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 |