| NPI | 1417163148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00306500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00306500) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-03-20 |