| NPI | 1275777302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00574500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180005926) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2020-01-24 |