| NPI | 1467610279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PS006406L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PS005406L) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |