| NPI | 1003907924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008940) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-12-03 |