| NPI | 1073091252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010572) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: VA 0701008312) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-05-09 |