| NPI | 1710750104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37AC00679800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A17789) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |