| NPI | 1811462674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC0085100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013619) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-10-04 |