NPI | 1649729955 |
---|---|
Former Name | DEBRA GAIL EISENSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00386600) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00079100) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |