| NPI | 1669072542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005943) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00781800) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-10-18 |