| NPI | 1780367987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC015509) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00968700) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-01-17 |