| NPI | 1649654740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 232308668) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 5938258) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |