| NPI | 1508353939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010162) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 685159) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-12-27 |