NPI | 1487768255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012321) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00322100) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2024-11-03 |