| NPI | 1376696344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009613) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 1875) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006088) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2022-09-23 |