| NPI | 1962925719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY VANESSA ORELLANA Licensed Professional Counselor 862-324-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NJ 37PC00521600) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |