| NPI | 1104375088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 294) |
| 101YP2500X Counselor, Professional (Licence: PA PC012359) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-06-21 |