| NPI | 1174881841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PCO10820) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2024-12-04 |