| 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 |