| NPI | 1699223776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA CW025653) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC06536400) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2025-09-25 |