| NPI | 1215783360 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC011874) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011874) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |