| NPI | 1699082826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004585) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000204) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2013-06-12 |