| NPI | 1376073452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5738) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009653) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-05-12 |