| NPI | 1194805879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00338700) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003397) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-08-26 |