| NPI | 1043690621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008675) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00537000) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2018-11-19 |