| NPI | 1144390485 |
|---|---|
| Former Name | MARIE WOMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00027100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100077800) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |