| NPI | 1376992552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00573400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71302) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2017-03-31 |