NPI | 1932678026 |
---|---|
Former Name | CHRISTABEL EDEN VAN DER VEKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06188400) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |