| NPI | 1598889859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH8921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37LC00184800) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00290500) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-10-31 |