| NPI | 1467649178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC007520) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0105971) |
| 101YP2500X Counselor, Professional (Licence: PA PC007520) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2024-02-18 |