| NPI | 1043460025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC004774) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC004774) |
| 101YS0200X Counselor School (Licence: PA PC004774) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |