| NPI | 1558851014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC7529) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00558900) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |