| NPI | 1679015200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC014251) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH002753) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2022-04-19 |