NPI | 1346512209 |
---|---|
Former Name | COLLEEN BORCHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00264200) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2019-06-25 |