NPI | 1518640531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00937300) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00540300) |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |