| NPI | 1023385614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00197200) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC000496) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2022-10-22 |