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 | 2024-09-13 |