| NPI | 1679341556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01233400) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2026-04-05 |