| NPI | 1831789643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00983000) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00432900) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-10-05 |