| NPI | 1508384918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00807100) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37AC00290000) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-01-24 |