| NPI | 1689311201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA APC000422) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA APC000422) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-10-08 |