| NPI | 1578942660 |
|---|---|
| Former Name | JAMIE BREITWIESER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05856900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05843100) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2023-05-30 |