| NPI | 1578877189 |
|---|---|
| Former Name | ELYSE JOY DE JONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05546200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 996263) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: MA 117297) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2021-06-30 |