| NPI | 1659882769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00873100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00380700) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-09-21 |