| NPI | 1477604007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4206) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00250200) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-09-03 |