| 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 |