NPI | 1437794419 |
---|---|
Former Name | KELLEY ANNE ADELSBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06294900) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2019-11-13 |
Last Update Date | 2024-03-01 |