| NPI | 1851805543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00732300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00388900) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-04-04 |