| NPI | 1518618651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00915200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00618800) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-04-04 |