| NPI | 1295344075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 010899) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15626) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-10-03 |