| NPI | 1477929511 |
|---|---|
| Former Name | JAMIE G. RAVITCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00638000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00247400) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-08-14 |