| NPI | 1588651483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0501002) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11619) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00883200) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2023-01-11 |