| NPI | 1649608076 |
|---|---|
| Former Name | TABITHA DUCKREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06117400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05789300) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2023-06-16 |