| NPI | 1679021604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006524) |
| 101YS0200X Counselor, School (Licence: VA PPS-0604969) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |