| NPI | 1285180612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010262) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-12-17 |