NPI | 1336383678 |
---|---|
Former Name | SHELENE SEUFERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05464500) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00173800) |
Enumeration Date | 2009-04-30 |
Last Update Date | 2015-07-13 |