| NPI | 1164105920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00817200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC018929) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2026-07-18 |