NPI | 1932562162 |
---|---|
Former Name | TIFFANY D BARTHELEMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05748600) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00236700) |
1041S0200X Social Worker School (Licence: 1007590) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2024-08-19 |