NPI | 1720404213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00604100) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00193000) |
Enumeration Date | 2014-03-09 |
Last Update Date | 2024-06-06 |