NPI | 1235577453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00511200) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NJ 810453) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2015-01-22 |