| NPI | 1427374065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC 003325) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006702) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-11-05 |