| NPI | 1801334396 |
|---|---|
| Former Name | JAMIE HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090140-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05976400) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06220300) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-01-12 |