NPI | 1881140853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00586600) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009127) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2020-09-21 |