| NPI | 1851526156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00025600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 001104) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-16 |