| NPI | 1780352484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00009300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000613) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-06-22 |