| NPI | 1194116954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00713100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 13444) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2020-05-11 |