| NPI | 1720898067 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ NJ3700630100)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 3700630100)  | 
| Enumeration Date | 2025-01-09 | 
| Last Update Date | 2025-01-09 |