| NPI | 1770846206 |
|---|---|
| Former Name | COLLEEN PATRICIA ZIMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05504300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 062181-1) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-06-21 |