| NPI | 1750899555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC010235) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-02-07 |