| NPI | 1134629173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-08-21 |