| NPI | 1174117410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015567) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00555600) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-11-06 |