| NPI | 1457772436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00529200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00166700) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2016-04-06 |