| NPI | 1649718420 |
|---|---|
| Former Name | KADIJAH FUENTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06290000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-01-10 |