| NPI | 1962864512 |
|---|---|
| Former Name | SALLY MAE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NR08502300) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |