| NPI | 1659709970 |
|---|---|
| Former Name | CHANEL GRATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00598300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00182200) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2018-03-17 |