NPI | 1700533692 |
---|---|
Former Name | CHARLENE JUENGLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 37PC00967700) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00597900) |
Enumeration Date | 2022-03-09 |
Last Update Date | 2025-07-23 |