| NPI | 1699436519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00951100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00504300) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-05-15 |