| NPI | 1780396432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00909500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 37PC00909500) |
| 101YP2500X Counselor, Professional (Licence: NJ 37AC00489800) | |
| 101Y00000X Counselor (Licence: NJ 37AC00489800) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-01-09 |