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 |