NPI | 1447750641 |
---|---|
Former Name | JENNIFER AGNES GERGELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00403000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC013288) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2022-05-03 |