| NPI | 1275680332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000877) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00135000) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |