| NPI | 1063899748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00551500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008130) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2016-05-23 |