| NPI | 1679852834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 10590) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00018400) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |