NPI | 1972243293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01115200) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86484) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-05-13 |