NPI | 1992431621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01103800) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00618700) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2025-02-26 |