| NPI | 1740759521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00805600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00445000) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2022-01-11 |