| 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 |