| NPI | 1477185577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02328) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC014124) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-06-08 |