NPI | 1740373075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ PC00311300) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA 000625) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2007-07-08 |