| NPI | 1750828125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA 2010027858) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2023-07-31 |