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 |