| NPI | 1174727994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004549) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00378000) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-11-12 |