NPI | 1245756246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011506) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00902700) |
101YP2500X Counselor, Professional (Licence: AL LPC04190) | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2025-09-30 |