| NPI | 1720580954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00941900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00400800) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2023-05-30 |