| NPI | 1063835254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00151800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00151800) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |