| NPI | 1083465025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01018200) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-01 |