| NPI | 1033361878 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006314) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00315400) | 
| Enumeration Date | 2008-10-10 | 
| Last Update Date | 2021-10-12 |