| NPI | 1356779078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC010318) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH000394) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2020-08-27 |