| NPI | 1083482210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011650) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-11-21 |