| NPI | 1609316843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC9882) |
| 101YP2500X Counselor, Professional (Licence: PA PC009489) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2020-12-01 |