| NPI | 1538108741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001723) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC001723) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-09-17 |