| NPI | 1376734020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6477) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004299) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-05-26 |