| NPI | 1376052167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 070100726) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |