| NPI | 1508579608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00650200) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |