NPI | 1366633281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005410) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00360300) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2019-10-14 |