| NPI | 1023499720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00819500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00246800) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-09-15 |