| NPI | 1922755313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00827000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 37PC00827000) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |