| NPI | 1275997819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC008836) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2023-04-04 |