| NPI | 1750850897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012163) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00847000) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-09-18 |