| NPI | 1487959722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2126) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2015-07-28 |