NPI | 1942401179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00428000) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37pc00428000) |
Enumeration Date | 2007-05-28 |
Last Update Date | 2021-04-12 |