| NPI | 1184854143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006436) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005189) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2022-09-30 |