| NPI | 1740687524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE ELLIS Licensed Professional Counselor 609-413-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC006176) |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2014-11-23 |