NPI | 1497991061 |
---|---|
Former Name | JENNIFER I FARBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 1367) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 6855) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2010-11-29 |