| NPI | 1386073138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00515400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00122700) |
| 101YP2500X Counselor, Professional (Licence: PA PC007817) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-09-26 |