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 |