NPI | 1255736062 |
---|---|
Other Name | MARY R MASTRIA, PHD, LCSW |
Entity Type | Organization |
Authorized Contact | MARY R RICCIARDI-MASTRIA Employer 908-277-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04597400) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2022-11-23 |