| NPI | 1568652808 |
|---|---|
| Former Name | CAROL FAHAD-LENZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00021400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 37PC00021400) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-04-14 |