| NPI | 1760652325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC002402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011609) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2021-03-12 |