| NPI | 1760894307 |
|---|---|
| Former Name | MARY JEAN ENGELHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 236) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |