| NPI | 1831768621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0018263) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00535100) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-03-28 |