NPI | 1740294800 |
---|---|
Former Name | DIANA LYNNETTE JAMES AND (CHARMOY, LCSW, LCADC) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc01302000) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00029800) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-03-29 |