| NPI | 1003939257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004129) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0115081) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00294300) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-09-29 |