NPI | 1609122894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8859) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00489700) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2023-08-18 |