| NPI | 1063822856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014306) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00493400) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-06-28 |