| NPI | 1760299523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00816200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |