| NPI | 1366909079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC014598) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018035158) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-12-14 |