Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC01434100 | NJ |
NPI | 1003069386 |
---|---|
Provider Name | Ms. Wendi Beth Rothstein |
First Address | Westfield, NJ 07090-2185 |
Second Address | Westfield, NJ 07090-2185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2008 |
Last Update Date | 30/10/2008 |