| NPI | 1518326594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 37PC00591200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00286600) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-12-08 |