| NPI | 1760073589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00629600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004209) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |