| NPI | 1811779341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00969700) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012728) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |