| NPI | 1154681898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 12409724-6004) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00558200) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2023-03-08 |