| NPI | 1700534245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00750300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012035) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |