| NPI | 1508474750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00730300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-23140) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-06-13 |