| NPI | 1053881649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00773400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00386300) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-06-16 |