NPI | 1518591825 |
---|---|
Other Name | NICHOLA LYDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06271400) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC0082800) |
1041C0700X Social Worker, Clinical (Licence: PA CW025161) | |
1041C0700X Social Worker, Clinical (Licence: CT 14464) | |
Enumeration Date | 2020-02-25 |
Last Update Date | 2024-10-26 |