| NPI | 1518315134 |
|---|---|
| Former Name | SARA KINGSBURY-DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00532500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-11-09 |