| NPI | 1861932741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 012642) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00576500) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-08-22 |