| NPI | 1255395703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN509647L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-05-01 |