NPI | 1841665460 |
---|---|
Other Name | SIMONE DOUGHERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00738700) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2023-10-26 |