| NPI | 1609279603 |
|---|---|
| Former Name | STACEY LOVEJOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05514300) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 596501) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2017-02-01 |