| NPI | 1508293267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 44SL05827800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 21731) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |