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 |