NPI | 1134384688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00866300) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR 3744) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2023-03-13 |