| NPI | 1689338618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005984) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: PA 00110522) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |