| NPI | 1205313368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85846) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010541) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2022-07-17 |