Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00553500 | NJ |
NPI | 1003254103 |
---|---|
Provider Name | Jennifer Pearlman |
First Address | Brielle, NJ 08730-1749 |
Second Address | Brielle, NJ 08730-1749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 26/03/2017 |