| NPI | 1316159759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 05000829) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002140) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2025-09-11 |