| NPI | 1730898727 |
|---|---|
| Former Name | GRACE CASSIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00913300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00361400) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00554300) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-01-23 |