| NPI | 1417486242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013267) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 3137) |
| 101YP2500X Counselor Professional (Licence: FL TPMC1113) | |
| 101YP2500X Counselor Professional (Licence: KS 3063) | |
| 101YP2500X Counselor Professional (Licence: KS 03024) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2021-07-14 |