Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 37PC00304100 | NJ |
NPI | 1003099060 |
---|---|
Provider Name | Rita Cifelli |
First Address | Freehold, NJ 07728-2828 |
Second Address | North Brunswick, NJ 08902-1873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 10/06/2010 |