| NPI | 1770704595 |
|---|---|
| Former Name | LOIS SOUTH BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SW14464) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SW14464) |
| 1041C0700X Social Worker, Clinical (Licence: SW14464) | |
| 221700000X Art Therapist (Licence: SW14464) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |