NPI | 1437369121 |
---|---|
Former Name | KAREN SONG CROMWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00561900) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0007154) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2016-11-30 |