| NPI | 1225048929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18081) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-12-26 |