NPI | 1225706609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00784100) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006497) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-09-01 |