| NPI | 1699203547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00646100) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2021-08-03 |