NPI | 1255696563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC005020000) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012014843) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2023-06-09 |