NPI | 1639698905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00701400) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00359500) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2022-11-18 |