NPI | 1629318753 |
---|---|
Other Name | JACKY SANTIAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05579500) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2013-02-27 |
Last Update Date | 2015-06-26 |