| NPI | 1114045309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 21235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 10615) |
| 101YP2500X Counselor, Professional (Licence: PA PC009651) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2026-02-26 |