| NPI | 1598353393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7788) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012793) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-05-18 |