| NPI | 1841899481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC2952) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2024-07-11 |