NPI | 1124431903 |
---|---|
Former Name | ROSARIO CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00718800) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00376200) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2023-08-07 |