| NPI | 1043538911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC004864) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00344900) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |