NPI | 1720631302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00810700) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00265600) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2024-11-05 |