| NPI | 1932553518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00676000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 175280) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2020-11-11 |