| NPI | 1326605171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA CW020273) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 106269-1) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-08-13 |