NPI | 1871983981 |
---|---|
Former Name | ELYSE SARA AMEDEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05617900) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 44SC05617900) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2022-03-03 |