| NPI | 1083068084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008474) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006239) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-04-16 |