| NPI | 1841571536 |
|---|---|
| Former Name | CAITLIN BETH FLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05713800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05563300) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 47-3221505) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2015-10-13 |