| NPI | 1780133389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00663600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00314300) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2019-10-27 |