| NPI | 1083472161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: NY 3004935) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC016887) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |