| NPI | 1659722965 |
|---|---|
| Former Name | SALLY MENDOZA-SALVATIERRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44sl06144300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05806100) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-07-25 |