| NPI | 1174103675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY MICHELLE GIBBS Licensed Professional Counselor 973-851-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-12 |