| NPI | 1114122314 | 
|---|---|
| Former Name | COLLEEN NEIMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05387700)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00167100)  | 
| Enumeration Date | 2007-06-18 | 
| Last Update Date | 2024-11-01 |