NPI | 1376846246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00449000) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00073800) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2015-07-29 |