| NPI | 1508513003 |
|---|---|
| Former Legal Business Name | JENNIFER ELLIS WALTERS PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WALTERS Founder 973-295-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |