NPI | 1407080690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 44SL05320500) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2009-05-04 |
Last Update Date | 2021-02-16 |