Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37AC00076000 | NJ |
NPI | 1003111436 |
---|---|
Provider Name | Mrs. Jennifer M Pinto |
First Address | Wanaque, NJ 07465-1613 |
Second Address | Wayne, NJ 07470-7433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2011 |
Last Update Date | 15/01/2011 |