| NPI | 1386095628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00694900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00269500) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-10-11 |