NPI | 1598187031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013831) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00489400) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2021-07-28 |