NPI | 1881026458 |
---|---|
Former Name | JENNIFER A DECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05616300) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00220500) |
1041C0700X Social Worker, Clinical (Licence: TN 6259) | |
1041C0700X Social Worker, Clinical (Licence: MS C8900) | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2017-03-14 |