| NPI | 1194931790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00361200) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-09-06 |