| NPI | 1093301889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA CW023525) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149.021633) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-04-17 |