| 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 |