| NPI | 1760881551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC010714) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014270) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2023-04-28 |