| NPI | 1487872040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00362000) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00031100) |
| 101YP2500X Counselor, Professional (Licence: PA PC004321) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-10-17 |