| NPI | 1629540968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00765100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00381700) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2023-02-13 |