| NPI | 1609387323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012325) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD lgp8099) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-04-09 |