| NPI | 1104903129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00026200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10533) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-12-31 |