| NPI | 1033192018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC001861) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ PC01075) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |