| NPI | 1518255199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN246886L) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |