| NPI | 1841935210 |
|---|---|
| Former Name | ELIZABETH ANN KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00360000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01087100) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2024-12-13 |