| NPI | 1316921950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 003503PA) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO CO3404) |
| 101Y00000X Counselor (Licence: PA 003503PA) | |
| 101YP2500X Counselor, Professional (Licence: CO C03404) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2019-07-11 |