| NPI | 1821396631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000246) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 19877) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2024-06-26 |