| NPI | 1124564216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011605) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CO 0018361) | |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0210) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00932000) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-12-29 |