| NPI | 1518369693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007507) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH000675) |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2014-12-29 |