| NPI | 1629560784 |
|---|---|
| Former Name | JACQUELINE ELIZABETH RAMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00015600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-07-11 |