| NPI | 1174095491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00904800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 006408) |
| 101YP2500X Counselor, Professional (Licence: PA PC016244) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-12-09 |