| 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 |