| NPI | 1265868772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC019905) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 701015198) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2026-02-04 |