| NPI | 1730740382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00899300) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0016451) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-12-20 |