| NPI | 1558074401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01063100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00580000) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-09-17 |