| NPI | 1568120475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC16307) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2026-03-13 |