| 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 |