| NPI | 1275994790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00496500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006143) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |