| NPI | 1992969687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILA ANN KEINER Sole Proprietor 609-748-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ SC46073) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |