| NPI | 1003369539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00241500) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-12-31 |