| NPI | 1710518493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00776700) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00466000) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-08-17 |