| NPI | 1609621887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014355) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 625202) |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |