NPI | 1578655023 |
---|---|
Former Name | DIANE MARIE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC0048400) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00098800) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2010-07-08 |