| NPI | 1609356492 |
|---|---|
| Former Name | JOAN WITTENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 317579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04399400) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |