| NPI | 1437555711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC003691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 003691) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2022-07-21 |