| NPI | 1265773667 |
|---|---|
| Former Name | STACEY ZELENETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc04957400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00111600) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2017-02-14 |