| NPI | 1700326121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 080986) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SL05899700) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |