| NPI | 1528759875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC015674) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-08-10 |