| NPI | 1518149798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00367400) |
| 101YP2500X Counselor, Professional (Licence: VA 0701009114) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2021-03-02 |