NPI | 1942221361 |
---|---|
Other Name | BETH REA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05256800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00092400) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2010-03-01 |