| NPI | 1235446238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC002725) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00284200) |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2015-08-31 |