NPI | 1023563293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005893) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC005893) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2019-10-22 |