| NPI | 1417278037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010409) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4740) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-06-21 |