| NPI | 1689939589 |
|---|---|
| Former Name | ELLEN ANDREA SANDE-KERBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPC 34) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00313100) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2012-07-07 |