| NPI | 1700104106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010486) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3484) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2021-05-07 |