| NPI | 1568742534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00484900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00086200) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2013-10-24 |