| NPI | 1740656149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013492) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC010000900) |
| 101YP2500X Counselor, Professional (Licence: CA 16025) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2026-04-15 |