| NPI | 1508112137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00426200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00426200) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2019-09-10 |