| NPI | 1053776963 |
|---|---|
| Professional Name | FOUNTAIN WORKS COUNSELING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC003984000) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-02-02 |