NPI | 1467466920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00367000) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC004171) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2011-04-18 |