| NPI | 1619320462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00562200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC016572) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2026-05-25 |