| NPI | 1104370527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00689300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00294500) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-09-30 |