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 |