| NPI | 1184844029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00301800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003541) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-03-05 |