| NPI | 1710324322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00435800) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC009613) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-11-28 |