| NPI | 1306270996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC0007030) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2020-08-21 |