| NPI | 1609174697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3795) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00396600) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2018-03-17 |