| NPI | 1659517886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC005786) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00378700) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2016-03-09 |