| NPI | 1700358249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00800900)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 37PC00800900)  | 
| 101YP2500X Counselor, Professional (Licence: PA PC010686)  | |
| Enumeration Date | 2018-12-21 | 
| Last Update Date | 2025-02-13 |