Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00563600 | NJ |
NPI | 1003351321 |
---|---|
Provider Name | Karen Ognibene |
First Address | Woodbury, NJ 08096-4640 |
Second Address | Woodbury, NJ 08096-4640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2016 |
Last Update Date | 21/12/2016 |