| NPI | 1508722042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SECRETTE BERTOT Licensed Professional Counselor 856-906-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |