| NPI | 1740358571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4781) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002116) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-05-19 |