| NPI | 1679292528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014643) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011700) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-09-15 |