| NPI | 1780865899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00925200) |
| 101YP2500X Counselor, Professional (Licence: VA 0701012447) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-04-07 |