| NPI | 1598903205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37LC00115400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SW00330300) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2011-12-01 |